Top
30
Doctor insights on: Lithobid Vs Lithium Carbonate Er

Share
1

1
What's to be expected with lithobid (lithium carbonate)?

What's to be expected with lithobid (lithium carbonate)?

Even disposition: This medication is used to help even out moods. It should provide a steadier mood state. ...Read more

Dr. Alan Ali
90 Doctors shared insights

Lithium Carbonate (Definition)

Lithium carbonate is a medication approved to treat bipolar type 1 acute manic episodes. It is also used for as maintenance therapy to prevent future bipolar mood episodes. Its clinically efficacy is related to serum levels which require blood draws. It can cause a minor to serious side effects and is life threatening in overdose. For additional information, please refer ...Read more


2

2
Lithobid (lithium carbonate) side effects?

Lithobid (lithium carbonate) side effects?

Lithium: Lithobid (lithium carbonate) is a twice a day formulation of lithium. Side effects include dry mouth, feeling sleepy, hunger, a fine tremor, worsening psoriasis. Lithium can also affect your thyroid and your kidneys. ...Read more

3

3
What are the side effects of lithobid (lithium carbonate)?

What are the side effects of lithobid (lithium carbonate)?

See below: The most common are increased thirst. Increased frequency and urgency to pass urine, muscle twitches, skin rash, G.I. Discomfort, trembling of the hands, loss of appetite. ...Read more

4

4
I was just put on lithobid (lithium carbonate). What side effects should I expect?

Common but small: Common side effects include dry mouth, sleepiness, increased hunger, nausea, and diarrhea. Common side effects tend to lessen with continued use. Lithium can also worsen existing psoriasis, affect your thyroid and your kidneys, and cause a fine tremor. ...Read more

5

5
Is it common to have increased appetite with lithobid (lithium carbonate) (900 mg) daily?

Usually not: Lithobid (lithium carbonate) can cause weight gain by decreasing metabolic rate, but appetite increase is an unusual side effect. ...Read more

6

6
How long does take to lithium leave the body and have normal blood levels for a person taking 1200 lithobid (lithium carbonate) and changing med?

How long does take to lithium leave the body and have normal blood levels for a person taking 1200 lithobid (lithium carbonate) and changing med?

Lithium: Lithium has a half life that depends on a few factors, to include the amount of time it is taken, age of the patient, and how well the kidneys are working. On average, it is about a day, so you would expect to be completely clear of the medication 5 days after ceasing. Measurable blood levels will likely be normal within a couple days, however. ...Read more

7

7
Who should not take Lithobid (lithium carbonate)?

Lithobid (lithium carbonate): Lithium is contraindicated in ones with significant kidney or cardiovascular diseases, severe dehydration, sodium deficiency, pregnant women, some diuretics, and patients who are poorly compliant. ...Read more

8

8
What diet is recommended with lithobid (lithium carbonate)?

What diet is recommended with lithobid (lithium carbonate)?

No particular diet: Salt will lower lithium levels. Diuretics, nonsteroidal analgesics (advil, ibuprophrn, etc) & fluid loss (diarrhea, sweating, vomiting) can raise lithium levels. No special diet required. ...Read more

9

9
Is there a difference between lithobid and lithium carbonate?

Yes: Lithobid (lithium carbonate) is a delayed release preparation that usually causes less stomach side effects. ...Read more

10

10
What's the therapeutic level for lithium carbonate tabs (lithobid)?

.6 to 1.2 mEq/L: Lithium (li) levels must be monitored closely b/c the therapeutic level is close to the toxic level. Toxicity symptoms include diarrhea, vomiting, muscle weakness & kidney changes. Should be avoided in pregnancy. Li is processed by the kidneys (not liver). ½ life is 24 hours. Effective serum range is. 6 to 1.2 meq/l. Toxic range starts at ~ 1.5 meq/l. Treatment for toxicity is supportive. ...Read more

11

11
What's your experience with lithobid (lithium carbonate) compliance?

Discontinuation: It is not uncommon for patients on this medication to discontinue. ...Read more

12

12
What's the difference between lithobid (lithium carbonate) and lithium?

What's the difference between lithobid (lithium carbonate) and lithium?

Lithobid (lithium carbonate) vs lithium: Aalthough comprised of the same medication, lithobid (lithium carbonate) is time-released; whereby lithium is not. Both are equally edfective, but the time-released doesn't seem to produce as many GI side effects. Lothobid is typically taken twice/day, hence the "bid" in the name. Lithium is generally taken three times/day (lithotid?). ...Read more

14

14
I have been taking lithium (lithobid (lithium carbonate)) for 13 years and have gained much weight from it. Should I gain weight on lithobid (lithium carbonate)?

I have been taking lithium (lithobid (lithium carbonate)) for 13 years and have gained much weight from it. Should I gain weight on lithobid (lithium carbonate)?

Yes: Weight gain is an adverse reaction to lithium though I'm sure the benefits in this case outweigh the side effect. If in addition you are taking a second generation antipsychotic as well, this may also add to weight gain. Please discuss with your psychiatrist before taking any actions on you own. ...Read more

15

15
Which is the average lithobid (lithium carbonate) daily intake in men for reaching therapeutic levels? I'm on 1200mg daily and in my last check my levels were 3, 9mEq/L

Which is the average lithobid (lithium carbonate) daily intake in men for reaching therapeutic levels? I'm on 1200mg daily and in my last check my levels were 3, 9mEq/L

No average dose: There is not an "average" dose. That is why blood work needs to be drawn to make sure the dose is correct. There are numerous reasons that the dose can be different including age, other medications, kidney function, etc. ...Read more

16

16
What is the definition or description of: Lithobid (lithium carbonate) allergy?

What is the definition or description of: Lithobid (lithium carbonate) allergy?

Lithobid allergy: Lithobid (lithium carbonate) has been used in the treatment of mania (bipolar disorder). Allergic reactions can include difficulty breathing, hives and swelling of face, lips, throat, mouth or tongue. ...Read more

17

17
Can you tell me if lithobid (lithium carbonate) and acetaminophen can mix safely?

Can you tell me if lithobid (lithium carbonate) and acetaminophen can mix safely?

Possibly: There is some chance that they could raise the risk of drowsiness, dizziness, poor concentration and judgement. So, until you discover how you react - play it safe and avoid driving or operating machinery, etc. If you don't like the results - don't mix them. If needed, give it a careful trial. Best! ...Read more

18

18
Why my doctor wants me to take 1200 mg of lithobid (lithium carbonate) before bedtime?

Sedation: Some doctors dose lithium at bedtime to minimize the side effects you could experience during the day. Some people may feel drowsy with lithium at bedtime. ...Read more

19

19
Are there any blood pressure medications that are safe to use along with lithobid (lithium carbonate) 2700mg (daily)?

Are there any blood pressure medications that are safe to use along with lithobid (lithium carbonate) 2700mg (daily)?

Yes: You typically want to stay away from medications that are diuretics. The other medications, in consultation with your doctor, are ok. ...Read more

20

20
How long does it take lithium to take effect for my depressive episode? I'm currently at lithobid (lithium carbonate) 800 mg daily

Depends: One must first be at a therapeutic level of lithium - this is determined by a lab test. Time to take effect can vary from days to several weeks. Given your other conditions your depression may not be solved by just lithium. Alcohol is a depressant and does not mix well with medication. Therapy may also help with your personality disorder. Talk to your doctor if you have any concerns. ...Read more

21

21
How can I avoid or make less significant the weight gain and slow metabolism while on lithobid (lithium carbonate)?

How can I avoid or make less significant the weight gain and slow metabolism while on lithobid (lithium carbonate)?

I usually refer my: Patients who have weight gain related to psychiatric medications to a nutritionist for both education and monitoring. That might be helpful for you. ...Read more

22

22
Between Depakote and lithobid (lithium carbonate) which is best for a person with more depressive episodes than manic?

Between Depakote and lithobid (lithium carbonate) which is best for a person with more depressive episodes than manic?

Lithium vs DEPAKOTE: Lithium generally works better on the depressed side of bipolar disorder. Depakote shines more on the manic side of bipolar disorder. These are gross generalizations and there are many exceptions to the rule. However, if it were me and I were having difficulty with bipolar depression I would likely choose lithium over depakote. I realize that there are likely many clinicians who would view this differently. I think there is literature to support both in the use of bipolar depression and bipolar mania. ...Read more

23

23
Can 400mg lithobid (lithium carbonate) daily cause thyroid problems? Since my TSH before-after rise from 3, 2 to 14, 3 mlu/l.

Can 400mg lithobid (lithium carbonate) daily cause thyroid problems? Since my TSH before-after rise from 3, 2 to 14, 3 mlu/l.

Yes...: It is not at all unusual for lithium to affect the thyroid and cause hypothyroidism, which is what it appears you are seeing with that increase in the tsh. If someone needs to stay on lithium, then the thyroid issue needs to be treated. See the dr prescribing your lithium who may want to refer you to your regular medical dr or an endocrinologist. It is not usually a reason to go off the lithium. ...Read more

24

24
I've been diagnosed with social phobia and narcisistic personality disorder, also an identity crisis. My doctor prescribed me lithobid (lithium carbonate). Why?

Lithobid (lithium carbonate): Lithobid (lithium carbonate) is a lithium medication indicated for many problems similar to your problems. Your doctor is trying to help you get better. ...Read more

25

25
What doses are available. In lithium carbonate er?

What doses are available. In lithium carbonate er?

Lithium carbonate ER: Lithium carbonate extended release is available in 300mg & 450mg. ...Read more

26

26
Can you take 900 mg of lithium carbonate ER at once? 2 450 ER tabs at once? Dr says yes, pharmacy says no

Give doc/pharm: Usual Adult Dose for Bipolar Disorder
Adult doses for bipolar disease
Usual dose: 1800 mg/day.
Extended release: 900 mg in the morning and nighttime or 600 mg in the morning, afternoon, and nighttime.
Regular release: 600 mg in the morning, afternoon, and nighttime.
Maintenance dose: 900 to 1200 mg/day.
Extended release: 450 mg/600mg in the morning and nighttime. See drug. Com ...Read more

27

27
Ok to take baclofen 10mg with lithium carbonate ER 450mg??

Ok to take baclofen 10mg with lithium carbonate ER 450mg??

It depends: It depends on the underlying conditions for what these drugs are prescribed;
Consult with the doctor that prescribes them; ...Read more

28

28
Can you take lithium carbonate ER without food or milk? Is that only for those who get upset stomachs taking it??

Can you take lithium carbonate ER without food or milk? Is that only for those who get upset stomachs taking it??

Best to take: With milk or food as it is easier on your stomach. Do not chew the capsule. There are many drugs that are not compatible. Check to see if is safe to take with other medication. Avoid dehydration as your kidneys are at risk for injury. Make sure you get your levels checked so they stay in a safe range. ...Read more

29

29
I take lithium carbonate ER 3x a day. I also take tramadol 2 tabs 2x a day. I never had any reaction with the two meds, this ok combo??

I take lithium carbonate ER 3x a day. I also take tramadol 2 tabs 2x a day. I never had any reaction with the two meds, this ok combo??

There is an: Increased risk of convulsive seizures with doubling up on the 50 mg Tramadol. Lithium does not have the anti-convulsive properties of Depakote, Lamictal or Tegretol which are also used as mood stabilizers. So the combination of Tramadol pill with another tramadol pill carries substantial risk. Plus Tramadol is very addicting. ...Read more

30

30
My Comprehensive Metabolic -Creatinine test results were. 85 in February and in1.05 March. Does my taking Lithium carbonate er cause this? Will retest again at the end of April. My pcp wants me to stop lithium my psychiatrist says no.

My Comprehensive Metabolic -Creatinine test results were. 85 in February and in1.05 March. Does my taking Lithium carbonate er cause this? Will retest again at the end of April. My pcp wants me to stop lithium my psychiatrist says no.

It very well may: Lithium is a very helpful medication but it is very rough on the kidney. It may be helpful to test the urinary concentrating ability, since lithium is rougher on the medulla than other things that might be raising your creatinine. Best wishes. ...Read more

Lithium (Definition)

Chemically, lithium is a light, soft, alkali metal. It's very highly reactive, so that in nature it's only found in compound form. It's useful in batteries. As a medication, Lithium Carbonate and citrate can be used to stabilize mood in people with bipolar disorder. In these people it can help with both mania and depression. Blood level monitoring is ...Read more


Dr. Austina Cho
55 Doctors shared insights

Lithonate (Definition)

Lithonate is a mania control agent which is a ...Read more